Drug coverage
Limited use (drug listing)
A formulary listing that covers a drug only for specific diagnoses or clinical situations listed by the plan.
Your prescriber must document that you meet the limited-use criteria.
Where you may see this
Ontario Drug Benefit limited use code tables.
Province or territory note
Most common in Ontario's drug benefit program.
The exact definition and rules can differ by program. Check the official rules for the benefit you are applying for.
Related terms
Drug coverage
Formulary
The official list of prescription drugs a public or private plan will consider covering, often with conditions on each drug.
View termDrug coverage
Assistance-linked drug coverage
Prescription coverage provided automatically when you receive social assistance or some disability programs.
View termDrug coverage
Copayment
Your fixed share of a prescription cost at the pharmacy after the plan pays its portion.
View termDrug coverage
Cost sharing (drug plans)
The combination of deductibles, copayments, and premiums you pay while the plan pays the rest.
View termDrug coverage
Pharmacare deductible
The amount you pay out of pocket for eligible drugs each year before a public plan starts paying its share.
View term